经股动脉PCI术后Perclose ProGlide血管缝合器的临床应用

After Trans-femoral artery PCI clinical application of Perclose ProGlide vascular stapler

关键词:  股动脉  PCI  Perclose ProGlide

Key words:  femoral artery  PCI  Perclose ProGlide

摘要:

[目的] 评价经股动脉PCI术后应用Perclose ProGlide（Abbott，USA）血管缝合器止血的安全性和可靠性，分析常见并发症及防范措施。[方法] 对2007年2月—2011年1月第三军医大学新桥医院3 109例患者经股动脉PCI术后应用Perclose ProGlide血管缝合器止血的效果进行回顾性总结，分析院内并发症和失败原因，观察近期并发症。[结果] 止血成功率95.6%（2 973/3 109），止血时间（2.9±0.8）min，术后制动时间（4.3±1.5）h，术后平均住院时间（4.5±1.2）d。院内整体并发症发生率1.6%（51/3 109），包括血肿19例，渗血16例，局部感染10例，假性动脉瘤3例，股动脉夹层2例，腹膜后血肿1例。其中与缝合器止血相关并发症1.2%。截至2012年3月，术后平均随访（12±2）个月，随访率66.7%（2 013/3 109），随访并发症发生率0.1%（3/2 013），其中包括2例迟发性股动脉夹层， 1例股动脉晚期血栓。[结论] PCI术后应用Perclose ProGlide血管缝合器止血是一种安全、可靠的止血方法，值得进一步推广。

Abstract:

[Objective] The evaluation of femoral artery PCI postoperative application Perclose ProGlide (Abbott,USA) suture bleeding vessels for the safety and reliability,analysis and common complications preventive measures. [Methods] In February 2007 to January 2011 in our hospital from 3109 patients via the artery PCI postoperative Perclose ProGlide blood vessels for application suture bleeding effect were retrospectively summarized,analyzed, and the reason for failure in complications,observe the recent complications. [Results] Hemostatic rate was 95.6% (2973/3109),stop bleeding time （2.9±0.8）min,postoperative braking time （4.3±1.5）h, a mean of the length of time （4.5±1.2）d. The overall incidence of complications in 1.6% (51/3109),including hematomas (19 cases),ooze blood in 16,10 cases of local infection, pseudo aneurysms in 3 patients, the artery sandwich in 2 cases,retroperitoneal hematoma in 1. Among them is com plications associated with suture bleeding 1.2%. By March 2012, a mean follow-up (12±2) months, follow-up rate 66.7% (2013/3109), follow-up complication rate 0.1% (3/2013), including 2 cases late-occurred femoral artery interlining, 1 case of late femoral artery thrombosis. [Conclusion] The application Perclose ProGlide PCI suture bleeding vessels for is a safe and reliable hemostatic measures, is worth further promotion.